Organization
UPSIDE TO YOUTH DEVELOPMENT L.L.C.
Active
Organization
UPSIDE TO YOUTH DEVELOPMENT L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT EDWARD GAY JR. (CHIEF EXECUTIVE OFFICER)
(804) 943-0629
Entity
Organization
Contact information
Practice address
9401 COURTHOUSE RD STE 300, CHESTERFIELD, VA 23832-6686
(804) 205-1011
(804) 479-8175
Mailing address
9401 COURTHOUSE RD STE 300, CHESTERFIELD, VA 23832-6686
(804) 205-1011
(804) 479-8175
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM2800X
Methadone Clinic
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Enumeration date
07/23/2007
Last updated
03/21/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up